Provider Demographics
NPI:1891723623
Name:FIGUEROA, GEORGE (MD)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:
Last Name:FIGUEROA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3660 W. BETHANY HOME ROAD
Mailing Address - Street 2:SUITE A
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85019
Mailing Address - Country:US
Mailing Address - Phone:602-973-3200
Mailing Address - Fax:602-973-0508
Practice Address - Street 1:3660 W. BETHANY HOME ROAD
Practice Address - Street 2:SUITE A
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85019
Practice Address - Country:US
Practice Address - Phone:602-973-3200
Practice Address - Fax:602-973-0508
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ35063207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ35063OtherMEDICAL LICENSE
AZ111908Medicaid
Z130523Medicare PIN